Changing trends in US mesothelioma incidence.

The correspondence by Weillet al (below) refers to a letter by Greenberg, which was published in February's edition of the journal. We regret the late appearance of this printed response, which arises from an administrative error. An electronic version of this text was posted on the website on 1 February 2005.

Mortality from lung and kidney disease in a cohort of North American industrial sand workers: an update.

Background: A previously published cohort study of some 2670 employees of the North American sand industry, followed through 1994, provided strong evidence of a causal relationship between quartz exposure and death from both silicosis and lung cancer, after allowance for cigarette smoking and in the absence of known occupational carcinogens. Unexpectedly, a significant excess mortality from chronic non-malignant renal disease [observed 16; expected 7.6; standardized mortality ratio (SMR) 212] was also found, whereas deaths from renal cancer at this stage were close to expectation (observed 6; expected 5.

Changing trends in US mesothelioma incidence.

Aims: To report the temporal pattern and change in trend of mesothelioma incidence in the United States since 1973.

Methods: The Surveillance, Epidemiology, and End Results (SEER) programme of the National Cancer Institute has since 1973 provided annual age adjusted incidence for mesothelioma in representative cancer registries dispersed throughout the USA. SEER data are analysed to describe the trend of male mesothelioma incidence in the USA.